NPIMap

Individual provider Active NPI

Kenneth Martin Algino, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Roanoke, VA
National Provider Identifier
1861448904
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101241666 Issued in VA
Practice address
1 Riverside Cir
Suite 105
Roanoke, VA 24016-4961
Phone
(540) 581-0150
Fax
(540) 985-4537
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101241666 VA Primary

Addresses

Primary practice location

1 Riverside Cir
Suite 105
Roanoke, VA 24016-4961

Mailing address

1 Riverside Cir
Suite 105
Roanoke, VA 24016-4961
Phone (540) 581-0150

Other identifiers 2

IdentifierTypeStateIssuer
P00417626OtherRAILROAD MEDICARE
1861448904MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000255 VA Practitioner - Pathology 7719086545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Pathology Associates PCGroup PAC ID 8628031630, 9 clinicians

Practice addresses (Care Compare)

1 Riverside Cir
Suite 105
Roanoke, VA 24016-4961
Phone (540) 581-0148

1906 Belleview Seave
Roanoke, VA 24014-1838
Phone (540) 981-7000

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2000

Hospital & facility affiliations

  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

Merit-based Incentive Payment System (MIPS)

Final score
86.57 of 100Reported as group
Quality
73.14
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince Mar 5, 2007 Accepting new patients
St Alphonsus Professional Medical Services LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1 Riverside Cir
Ste 105
Roanoke, VA 24016
Phone (540) 581-0150

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1861448904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "address_2": "SUITE 105",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164961",
            "telephone_number": "540-581-0150",
            "fax_number": "540-985-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "address_2": "SUITE 105",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164961",
            "telephone_number": "540-581-0150",
            "fax_number": "540-985-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGINO",
        "first_name": "KENNETH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101241666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00417626",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861448904",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.